A 22-year-old man is brought to the emergency department after a gunshot wound. Which organ is most likely to have the bullet lodged in?

In the context of a 22-year-old man with a gunshot wound, the likelihood of the bullet being lodged in the spleen is heightened due to the anatomy and common injury patterns associated with gunshot wounds to the abdomen. The spleen is located in the upper left quadrant of the abdomen and is highly vascular, making it susceptible to injury from penetrating trauma.

While the adrenal glands, kidneys, and left ventricle can also be affected by gunshot wounds, the spleen is particularly vulnerable given its location and the mechanics of how projectiles can travel through the abdomen. In cases of abdominal gunshot injuries, especially on the left side, splenic lacerations or perforations are common, and if the bullet doesn't exit the body, it has a high probability of lodging within the splenic tissue.

Considering trauma patterns, the spleen's size, and its susceptibility to damage from gunshot wounds, it is reasonable to conclude that the bullet would most likely be found lodged in the spleen in this scenario.